Organization Active NPI

Procare Home Health Inc

Doing business as VNA Healthtrends, LTD

  • Home Health Agency
  • Des Plaines, IL
National Provider Identifier
1497739544
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1009042 Issued in IL
Legal business name
PROCARE HOME HEALTH INC
Doing business as
VNA Healthtrends, LTD
Practice address
200 Howard Ave
Ste 248
Des Plaines, IL 60018-5906
Phone
(847) 803-0774
Fax
(847) 803-0821
NPI assigned
Dec 2, 2005
Last updated
Nov 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Annette M Heneghan, RN
Title
Executive Vice President
Phone
(847) 803-0774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1009042 IL Primary

Addresses

Primary practice location

200 Howard Ave
Ste 248
Des Plaines, IL 60018-5906

Mailing address

200 Howard Ave
Ste 248
Des Plaines, IL 60018-5906
Phone (847) 803-0774

Other identifiers 1

IdentifierTypeStateIssuer
5142OtherILBLUE CROSS PROVIDER NUMBE

Other names 1

  • VNA Healthtrends, LTD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

13310 Village Green Dr
Huntley, IL 60142
Phone (815) 788-1871

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jul 10, 2017 Change of OwnershipThis provider was the seller Enhabit Home HealthCCN 147292, IL, NPI 1730632423

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1497739544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOWARD AVE",
            "address_2": "STE 248",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600185906",
            "telephone_number": "847-803-0774",
            "fax_number": "847-803-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOWARD AVE",
            "address_2": "STE 248",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600185906",
            "telephone_number": "847-803-0774",
            "fax_number": "847-803-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "HENEGHAN",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "847-803-0774",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1009042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "5142",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VNA Healthtrends, LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.